Use of Intracervical Foley Catheter for Induction of Labour in Cases of Previous Caesarean Section Experience of a single tertiary centre in Oman
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 4
Abstract
Objectives: Tis study aimed to evaluate rates of success and perinatal complications of labour induction using an intracervical Foley catheter among women with a previous Caesarean delivery at a tertiary centre in Oman. Methods: Tis retrospective cohort study included 68 pregnant women with a history of a previous Caesarean section who were admitted for induction via Foley catheter between January 2011 and December 2013 to the Sultan Qaboos University Hospital, Muscat, Oman. Patient data were collected from electronic and delivery ward records. Results: Most women were 25–35 years old (76.5%) and 20 women had had one previous vaginal delivery (29.4%). Te most common indication for induction of labour was intrauterine growth restriction with oligohydramnios (27.9%). Most women delivered after 40 gestational weeks (48.5%) and there were no neonatal admissions or complications. Te majority experienced no complications during the induction period (85.3%), although a few had vaginal bleeding (5.9%), intrapartum fever (4.4%), rupture of the membranes (2.9%) and cord prolapse shortly after insertion of the Foley catheter (1.5%). However, no cases of uterine rupture or scar dehiscence were noted. Overall, the success rate of vaginal birth after a previous Caesarean delivery was 69.1%, with the remaining patients undergoing an emergency Caesarean section (30.9%). Conclusion: Te use of a Foley catheter in the induction of labour in women with a previous Caesarean delivery appears a safe option with a good success rate and few maternal and fetal complications.
Authors and Affiliations
Hazel Gonsalves| Department of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Nihal Al-Riyami| Department of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Tamima Al-Dughaishi| Department of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Vaidayanathan Gowri| Departments of Obstetrics & Gynaecology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman, Mohammed Al-Azri| Departments of Family Medicine & Public Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman, Ayesha Salahuddin| Department of Obstetrics & Gynaecology, Sultan Qaboos University Hospital
Keywords
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